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General NPI Number Information
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NPI Number | 1235610486
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Entity Type | Individual
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Provider Name | BRYAN R CORTES ZENO
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Gender | Male
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Dates
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Enumeration Date | 08/26/2018
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 17705 CARR PR 2
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-819-3930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | BAJADERO
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State | PR
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Zip | 00616-0158
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Country | US
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Telephone | 787-408-3922
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2855
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 10836
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License Number State | PR
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